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1987-117 r t k - f k 1 CERFnFIC.ATE OF OCCUPA.N'C%jL' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dace_ May 19 88 k This ,its to certify that work requested to be doter as shown by Permit No, has been completed. This structure may be occupied as a ONE FAMILY DWELLING ` LocationLOT 33 PHEASANT WALK ( ST , NO( 15) SECTION 11 PHEASA-NIT WALK SUB . Owner Y i2C—C ItA.i "T , IiV C . By Order Torun Board k TOWN OF QUEENSBURY t Building !V Zoning Inspector I 1 I BUILDING PERMIT TOWN OF QUEENSBURY No- 87-117 WARREN COUNTY, NEW YORK 40 PERMISSION is hereby granted to Pro—Craft , Inc . rl 0 OWNER of property located at Lot 33 Pheasant Walk ( St . No . 15) Street, Road or Ave. n sn in the Town of O.ueensbury, To Construct or place a One-Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and H approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n 1 . OWNER'S Address is 11 Pheasant Walk Queensbury , NY 12801 2. CONTRACTOR or BUILDER 'S Name C Cn O SAME ro r7 r3 rt w r t,a 3. CONTRACTOR or BUILDER'S Address H tD H {b SAME d w 4. ARCHITECT'S Name N ff ran � W iu K3 N S. ARCHITECT'S Address w H rs tdS 2' 1= O CT B. TYPE of Construction — (Please indicate by XI f� u ( wood Frame I D Masonry [ ) Steel 0 0 C7 7. PLANS and Specifications 54 ' x34 ' per plot plan , specifications and application submitted w NO including two-car attached garage and sewage Bystem . Y, r B. Proposed Use One-Family Dwelling E iD w $ 5 . 00 0/O $ 147 , 00 PERMIT FEE PAID - THIS PERMIT EXPIRES Nov . 1 tg 87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this bt_h D ay of April 19 87 SIGNED BY �li} �,/_► Ci. ,1� ` for the Town of Queensbury Building and Zoning Inspector �— TO BE COMPLETED BY BLDG . DEPT . -I c�Wj\j sir C.1UE L / Application No . � , own CtueBn4C+ lu[1rtt Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 MAR 3 0 Bay and Haviland Road. R.D. 1 Box 98 zoning Designation Queensbury, New York 12801 Variance No . BUILDING 8c CODE DEPT Site Pla view No . a f a,r 147 3 �3 Appro d b lee APPLICATION FOR 7/ EU I LD I NG AND ZONING PERMIT pL4A 'q merAtAtv 0, G A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the Permit . The owner of this property i.s :�9./..�e) 7- /� C-- P. O. Address Tel • Z'!j�Q 1 Property Location : ,t/ % L, Tax Map No . Street number or building lot number Subdivision name ( if applicable) Zfh�c ' ,jA/ 1 &f�LEC- THE PERSON .yR+ESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :,. ^ -- Name lJ ..-^^ P . O . Address r-^^ Tel , No , Name of builder 14 o C ,,,! ilr' / Address , fir . Tel . 'fir &r / .33 3 Name of plumber 1/4 S" -,vs Address 'f +4 Ta Tel .�1, 5 T 1 p' Tel . 9 y � � Name of mason g r„3,� ,. Is . Addressr�T/" /_ _._�q NATURE OF PROPOSED WORK : ZONING INFORMATION : -4� Constructlon of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building drawn reasonably to scale and attached hereto . Alteration to a building showing clearly and distinctly all buildings , (no change to exterior dimensions ) * whether existing or proposed and indicate all Other work. (describe) * set-back dimensions from property lines . Give * street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . cs " Si.ze of ro �e f, Y, f+4=*C> * Existing buildings ) Sizeft - * PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure ft X 3 4/ ft " Foundation-pier/slab/crawl/partial uI * Proposed building , distance from property line (circle one) ft No . of stories (habitable space ) * Front yard 6 r ft Rear yard / / 2' ft Height (grade to ridge ) �� ft , * Si-de yards 3 ,4 _- ft and � t/- ft If residential , no . of families / * If on corner , setback from side street --gj4, No . of rooms ( excluding baths } .9 * OCCUPANCY INFORMATICN Nov of bedrooms �� PRIMARY BUILDING - No . of bathrooms Gne family dwelling Primary heating system ez-�t r c, Type of fuel * Two family dwelling No . of fireplaces to be installed * Multiple dwelling Number of units j Will a wood stove be installed? ,,E./' G * Permanent occupancy Central Air conditioning? ---- Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin Other * If addition , what will use be? Raised ranch Mansion Duplex p'f-tA- ve Old style Bungalow " ag Ood Cottage Other * ACCESSORY BUILDING- Colonial Row Town House �D-e-tached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } " L - attached garage/one car/ car car * * r * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF '" Other CONSTRUCTION -- -- - - - - - - - - - - _ - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type, of construction wood framep, fire safe , etc . Will any second--hand or ungraded lumber be used? If so , for what ? ,/= r'p Foundation wall material C y Thickness G ' r/ _ Depth of foundation below grade (to bottom of fs7Qting ) rf Will there be a cellar? Heated or sated ? Floor sq. footage_, - sq ft Will there be a basement? - '����Will an o nion be used as living space? .ri'p ( If so , what portion? sq . ft . - Type of use? Type of roof - lape lat/shed/other Material of roof �r- Si2e , wood studs " x s acin _..rc .....R ,_ .p g 'o . c . length _ *r- ft . .Toists ( floor beams) 1st . floor _7 "I{_,.ZZ2.IV spacing "o . c . span M1 ft . Ioists ( floor beams ) 2nd . floor _ 7 x /�3 " spacing � "o . c . span Overlays (ceiling beams ) - -- spacing '•o .-c .G!(s-pan ft . Roof rafters -�X- spacing o . ce span ft , Roof trusses (pre-engineered) spacing "o . c . span_,�'ft . Exterior wall finish ,e .s Of what material ? tf A_f y L. Interior wall finish At X"J ,, Z.L-a y am- �+p 4L- k- If a garrsje is to be attached , describe materials to be used for FIRE SVPARATION : _ }%,L e-- F'.4i -,.Z7 f � ofvz. c Ar Ke 9 .G' gr7 Is there to be an opening between garage and dwelling? .X __ If so will a Fire-rated door , enclosure , and self-closing device be provided.? V Will a flue-lined chimney be installed? Height a$ove roof ft , Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . Water supply -C14unici- ' or private well SEPTIC SYSTEM _ Dis ance from ANY private well { including adjoining properties - -- ft . (A separate application is necessary for any repair or new installation of septic system) Town of flu ry County of Warrenarren A F F I D A W I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE0 and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE HE THIS Signature _,? Owner owne ' s agent,agcnC-rcect , contractor '5 e`2 day of /� .f'C/ 19. 9n. GG � Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * #r * * * 1r * * * : * * * * * * * * * * * * ,► * SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSSURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following . 1 . Gross floor area L 2w, 'type of heat ,SF �- � 3 . Is the building mechanically cooled ? /(� L 4 . Percentage of area of windows and doors /1 A . Over 16 % Only ` 1 . Ub value of gross area of wails , roof / ceiling and floors , exposed to ambient conditions 2 . Flocs over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . if YES , what is the R value ? 3 . Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation 8 . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. '(f:) 2 . R value of exterior walls Ie /q1 3 . R value of glazed area Q)CZ 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) - - g , R value of heated basement/ cellar wails (below grade ) _- 100 Type of insulation �� � C . Controls ° 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation T� b . R value of duct in other areas , E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum.---- Go For Swimming Pool only 1 . Maximum heating f] Telepho*e No . t` y. 3. � _ .r. - � 7zT • C ' 2 � ( applicant ' s �sJ-gnat re ) a qlhlm 010on df APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE 37 ;E0 / LOCATION OF PROPERTY FOR INSTALLATION 4,pr Owner's Name: J ' Telephone: Address lr! ! lar EL f— Installer's Name: Telephone: *� 9'- Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) rGs e> Topography: circle one Fiat Rolling Steep Slope % of slope _ Soil Natures circle one; Sand Loam Clay Other / Depth. feet Ground Water: At what depth? —` feet Bedrock or Impervious Materials At what depth? i feet Percolation test: circle one: not required required / rate min. inch. Domestic water supplys circle ondiZMuni pal~ Nell Other IF domestic water supply* is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM : Septic Tank pe7 0 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench "4:�5 feet / Total system length .9�0 feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness ` feet IMPORTANT ...Please_..LIST NEW EQUIPMENT TO BE INSTALL>i17 (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage C3rdinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showings 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells Be No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00- C- An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal CWdinance. Signature of responsible person. zt Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832. SETTLED 1763 . . . HOME OF NATURAU BEAUTY . . . A 0001) PLACE TO LAVE 4057381 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY A C E r 41 STATE STREET. ALBANY, NEW YORK 12207 Date 1998 Application No. on file 0 2 5 5 6 U / 8 7j THIS CERTIFIES THAT only the eleetrieal epaipm.ant ea descri'bad be►ate and lntrodyaed by the apPliCe st naf r w::on the above applicatipa number in the promises of Pro craft Builders T.Ot # 33 Pheasant Walk Glens - 1st New york in the following location: 29 Basement d lag Ff. ❑ $nd Fl. out k3 X, de Section Block Lot 033 was examined am andfund to be in compliance with the -- � — tj $ a !d� rega:rementR of this Board. FIXTURE "ACUIS SVFFTCHn RE FIXTUS RAlIGES CdOK�N017ELK5 OVEtA15 DISH WASHERS fXHAtJST FANS OI.ITLETS IMCAMMSCENT FLUCOE.SCENT w AMT. K, W, AMT. K. W. AMT. 23 48 21 22 1 DRYERS FURNACE MOTORS FUTUM AMEiA AM FEEpRRS SFECLAL REC'FT TIME C10CK5 EEII UIWT ItEATERS IMYLTt-OUTiET p y , MAT. K. W. OIL K F. GAS H, P. AMT. 410. A. W. G. AMT. AMP_ AM7. AMP$. 'TRAM, 4MT. H. P. SYSTEM; MI:J_ � FEET AMT. WATTS erfie 1 SERVICE DI5SCC* NEECT No. o S E R Y 1 CMMT E AAAT. AMP. TYFE "W 2W 10 3W 3 Ar XW 3 .e Aw NO OF Cr COND. A. W. G.P NO. OF HMEG A. W. G- . O cc. CONo- OF HI-LEG NO- OF NELFy"Ars A, W,G. 2Q0 cb 4 �^�y J OP NEUTRAL 1 ?[ T0 OTHERA"ARATUS. Elec , Room HeaterSt 3 / 2 . 0 , 4 / 1 . 5 , 3 / 1 , 0e 1 / * 5 3--gfc3. 1 -smoke detector ERA Electric Co . ��► � � _�,,� RD # 4 339F Candleberry Drive Glens F'alld , NY 12801 239 BRANCH MANAGER Per This certificate roust not be altered in any manner; return to the office of the Baard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Elam Jouvn o� �ueeri,� �ui.� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 128OT BUILDING INSPECTOR ' S REPORT NAME LOCATION Date , / 2—/ Permit No . Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Sackfill Framing Roofing Siding Masonry Ven r Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trutt Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof-in Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AP ROVAL — - "'<Final Building Survey Next scheduled inspection (call when ready Remarks- ��' .tr i 1 •1{a �r3.�.. Cat rC r� $ ding Insp for s/86 and-vl �. owrf 0/ Qiteen3 ur t� BL21NG and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Watexproofing Backfill ,Framing Roofing siding Masonry Veneer Rough Plumbing 'Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain 'file Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPRO AL Final Building Survey Next scheduled inspection ( call when ready Re rks- V �-l" AJ& ,NAY" �" PL � /4''6ArO \ZD OAA ©LI6W.- ��L i /�K�rlTl�+i i fZs Building In pec r 6/86 and-vl J1eo elpy y � �BUILDIMG and ZONING DEPARTMENT f✓ram Bay and Haviiand Road, R. p, I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / LOCATION Date fp / Permit No . Footing/Pier Forms u APPROVED - YES NO Foundation Waterproofrog Baalkfill R-r'rami ng Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cedar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Dcsor Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready ) Ftemar - Ano IVO ( J Buil ing Inspe to 6/86 and-vl _! BUILDING and ZONING DCPARTry, Say and Hav R ilancl Road, ENT QU Y. New Yorkk eengbur 1 7 Box 9$ 12$pp SEPTIC DISPOSAL SYSTEM INSPECTION NAME . LOCATION jL' DATE s j z� PERM I T NO. SOIL SOIL TYPE _ Sand - Loam - Clay Percolation Test Required ? Percolation ra YES Min/Inch TYPE of SYSTEM; ` Absorption field , total Length of le each tre ch th� Depth of trenches Size of gravel SEEPAGE PXTS4Number o Size- ft. X -� Gravel size f PIPI C; Bldg . to tank Size Tye Wank to d ist . box Dist. box to fie d/ � Openings sealed ES NO artial LOCATION/SEPA TINS : Foundation to ank Foundation to absorption ft. Absorption to lot line Z ft . Separation of Pits a1. ft` LOCATION f t . SYSTEM ON PROPERTY (circle one) CCKMEN<S:*Front - r - Left side ea - Right side - SYSTEM USE APPROVED YES a Building I Fector 01/86 and v1 e � �owar o� +�r�reQn.s�iurr� ! UILDING and ZONING DEPARTMENT ' Air' Bay and Haviland Road, R.D. 1 Box 98 ` Queensbur ' Y. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION f �� ..��' Date/ Permit No . �r = * Footing/PierAPPROVED Forms YES NO Foundation WW rl'roofi ng e..hMokti.11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar. Fireproofi Door Closers Smoke Detecto Chimney INSULATION . Foundation Floors Walls Ceiling FINAL EZECTRICAL INSPECTTON DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when r d Remarks- V 7uilding Inspector 6/86 Ind-VI CCy�rr � � ( � .Jacun o� �ueens �ur� yam( BUILDING and ZONING DEPARTMENT U Bay and Haviland Road, R. D. 1 Box 98 flnd� Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT r NAME LOCATION ' 4 2�z Date Permit No . / ✓ = APPROVED - YE NO 4o'Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding law Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofin Door Closers Smoke Detectors Chimney .INSULATION : Fo un da t i can Floors Walls Ceiling - FINAL ELECTR CAL INSPECTION DRIVEWAY APPROVAL ` Final Building Survey Next scheduled inspection (call when ready) Remarks- Building In pector 6/86 and-vl BUILDING DEPT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. ITEMP. ! DATE CITY OR VILLAGE TOWNSHIP COUNTY STREET ARID NO. OR ROAD AMP POLE MM3. T� / _..— C L . �` � ' 7` - PROLE NO. BETWEEN VIIIIAT TRIO CROSS STREETS f %{ 'r I /�r,( �i" L.ff+ rrCSECTI N '+'"f J� r+f BLOCK LOT PREMIISE.S LOCATED? '_.;". :T33r J �' r"J OCCUPANT-S, BUILDING NAM OCCUPANCY ! 1 r ,.:. .. I f1 • fJ . . OINNERS NAME y I j AND ADDRESS '.'�^ f+ - ,,w //; '�3 f J•1f" j 1 . .:. y ,r� J..3T i TEL. # CLOMERY B'PL �('" % f r ' i LJ FROM THEIR �.7 r1 ..�I----;ryry S �i �,r OFFICE DEFECTS IS ILDINO NEW '... OLD ❑ IYYORK NEW El ADDITIONAL ❑ REMOVED El LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED UBER OF OU I-ETS ofRecepqmA4m MOTORS HEATERS CIRCUITS OFFICE USE Le ONLY bM SYY Aaawwt HJr. Wettl A.W.O. [7riinN IAliee NIINII'Ir 7p�Irir Pl..drrt Braekae Na Type Ead Na £ Ma Gergtr INSPECTION Oa! sire SnIY. MM Bate rrrsat Iet Fq- SmA R 3rd FL REMARKS: LIST OTHER ELECTRK`.AL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.. This appaw;wporr is iaemns"d to cnwr the a6o Nmaod ftwi tm I to be inepa U4 but if at einre of iregreetion there a found edditionM epoipnrant not Meow listed, You are aalltetaead ea (make fr irrKreCraa eatl MSedt the fM [o Meer thm additional equipment, it PrOVed al by the applir C SIZE dF EL£C TR IC SIGH TOTAL ,MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED OAS TIME SIGN OF IMORK CONCEALED TRANSFORMERS OF VA WORK TO IRE INUMBERI iCAPACITYI STARTED CONNPLETED SIZE OF SIGN SERVICE OVERHEAD UNbEpGR�11ND 's n MAKER ENTERS lt'_s d( f I OF SIGN I INSPECTION REOLIE IED OR AS ON IUR AS NEW 0 OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPU ' IO N/s1 PRINT M6 AND ADDRESS I . ,. MANSE OF SIGNATURE APPLICANT AOF APPLICANT f STREET ADORESS � � • . + f....•..�.....:2�--�, TELEPHONE i{f / � � � f •✓� CITY Oft //'� '!~ t"+ , "� 2W j y LICENSE NO. POST OFFICE 5.,.° CODE 1 - 1 VJHEN AFMLICAB E 446 eL (REV. 1/e4S) A SEPARATE APPLICATION MUST BE FILET] FOR EACH SEPARATE BUILDING do i r I I s fr Ay, So 'I